Salter-Harris Type IV physeal fracture of right metatarsal digital illustration

Salter-Harris Type IV physeal fracture of right metatarsal Save


ICD-10 code: S99.141

Chapter: Injury, poisoning and certain other consequences of external causes

Salter-Harris Type IV Physeal Fracture of Right Metatarsal

A Salter-Harris Type IV physeal fracture of the right metatarsal is a rare but serious injury that occurs in children and adolescents. It happens when the bone's growth plate, the area of developing tissue near the end of the bone, is damaged. This type of fracture can cause long-term growth problems if not treated promptly and appropriately.

There are five types of Salter-Harris fractures, and Type IV is the least common. It is caused by a crushing force that compresses the bone's growth plate, leading to a fracture through the growth plate and extending into the bone shaft.

Symptoms of a Salter-Harris Type IV fracture of the right metatarsal include pain, swelling, and difficulty bearing weight on the affected foot. In severe cases, the foot may be visibly deformed, and the bone may be protruding through the skin.

If you suspect your child has a Salter-Harris Type IV physeal fracture of the right metatarsal, seek medical attention immediately. An X-ray or MRI will be required to confirm the diagnosis, and treatment will depend on the severity of the injury.

  1. Non-Surgical Treatment: If the fracture is stable and the bone has not shifted out of place, the doctor may immobilize the foot with a cast or brace for several weeks while the bone heals.
  2. Surgical Treatment: If the fracture is displaced or unstable, surgery may be required to realign the bone and hold it in place with screws, pins, or plates.

After treatment, your child will need to undergo physical therapy to regain strength, flexibility, and range of motion in the affected foot. Full recovery can take several months, and your child may need to avoid high-impact activities for an extended period to prevent reinjury.

In conclusion, a Salter-Harris Type IV physeal fracture of the right metatarsal is a rare but serious injury that requires prompt medical attention. If your child is experiencing any of the symptoms mentioned above, seek medical attention immediately to prevent long-term complications.